Steinmeyer E M, Hartwich P
Psychiatr Clin (Basel). 1975;8(6):327-38.
So far, little systematic work had been done to investigate how information regarding psychiatric cases should best be presented in order to facilitate important medical decisions. For each of three groups of diseases: (a) schizophrenic reaction, paranoid, (b) manic-depressive, depressed, and (c) anxiety neurosis, we have described four different cases, systematically varying both quantitatively and qualitatively the information in each description. Categorical judgement was given by 15 psychiatrists on a nine-step rating scale with regard to three dimensions. In order to investigate the constancy of the judgements, the method of scaled pair comparisons was used according to the law of comparative judgement. After examination of the adequacy of the scaling models, the following results, among others, were obtained from the scale scores: the discrimination of the two cases of psychoses was highly significant, that of the anxiety neurosis was not significant.
到目前为止,几乎没有开展系统的工作来研究精神病例信息应以何种最佳方式呈现,以便于做出重要的医疗决策。对于三组疾病中的每一组:(a) 精神分裂症反应型、偏执型,(b) 躁狂抑郁症、抑郁型,以及 (c) 焦虑神经症,我们描述了四个不同的病例,在每个描述中对信息进行了系统的定量和定性变化。15 位精神科医生就三个维度,在一个九步评分量表上给出了分类判断。为了研究判断的一致性,根据比较判断法则使用了量表对比较法。在检验了量表模型的充分性之后,从量表得分中获得了以下结果,其中包括:两种精神病病例之间的区分具有高度显著性,焦虑神经症病例之间的区分不具有显著性。